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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IF CAREFULLY <br /> SEPARATION OF INSUREDS - INSURED MEMBERS AND <br /> REPORTING ENDORSEMENT <br /> This endorsement modifies insurance provided under the following: Master Policy Number: 103 GL 0212472 01 <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART Master Endorsement Number <br /> LIQUOR LIABILITY COVERAGE PART 24012363 <br /> A. SECTION I—COVERAGE, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE <br /> LIABILITY, 2. Exclusions, and COVERAGE B PERSONAL AND ADVERTISING INJURY <br /> LIABILITY, 2. Exclusions of the COMMERCIAL GENERAL LIABILITY COVERAGE <br /> FORM, and SECTION I— LIQUOR LIABILITY COVERAGE, 2. Exclusions of the LIQUOR <br /> LIABILITY COVERAGE FORM are amended and the following added: <br /> This insurance does not apply to: <br /> Unreported Events <br /> "Bodily injury", "property damage", "personal and advertising injury" or"injury"arising out <br /> of any "Insured Member(s)"that you have not reported in the Policyholder's Bordereaux, <br /> subject to SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, <br /> Reporting Provisions ADDED IN ITEM E. below. <br /> However, this provision does not apply in the event of an unintentional error or omission <br /> in not reporting an "Insured Member" in the Policyholder's Bordereaux if such "Insured <br /> Member" received a Certificate of Insurance and paid the premium prior to the "bodily <br /> injury", "property damage" or"personal and advertising injury" or"injury"that resulted in a <br /> claim or"suit". <br /> B. SECTION II—WHO IS AN INSURED, 1. a. of the COMMERCIAL GENERAL LIABILITY and <br /> LIQUOR LIABILITY COVERAGE FORMS, is deleted and replaced with the following: <br /> a. An individual, you and your spouse are a named insured, but only with respect to your <br /> conduct as an "Insured Member" named on the Certificate of Insurance referenced in <br /> item C. below. <br /> C. SECTION II—WHO IS AN INSURED of the COMMERCIAL GENERAL LIABILITY and <br /> LIQUOR LIABILITY COVERAGE FORMS is amended and the following added: <br /> 4. Any "Insured Member" issued a Certificate of Insurance evidencing coverage under this <br /> Master Policy will qualify as a Named Insured. However, for the "Event Information" <br /> designated in the Certificate of Insurance: <br /> a. COVERAGE A does not apply to "bodily injury" or"property damage"that <br /> occurred before the"Event Information" inception date shown in the "Certificate <br /> policy period"; and <br /> b. COVERAGE B does not apply to "personal and advertising injury" arising out of <br /> an offense committed before the "Event Information" inception date shown in <br /> the "Certificate policy period"; and <br /> C. LIQUOR LIABILITY COVERAGE does not apply to "injury"that occurred <br /> before the "Event Information" inception date shown in the "Certificate policy <br /> period". <br /> D. SECTION IV—COMMERCIAL GENERAL LIABILITY and LIQUOR LIABILITY <br /> CONDITIONS, 7. Separation Of Insureds is deleted and replaced with the following: <br /> 7. Separation Of Insureds <br /> This insurance is provided under a Master Policy and applies: <br /> a. as if each "Insured Member" shown on a Certificate of Insurance were the only <br /> Named Insured; and <br /> APPROVED <br /> T1523-0111 By Cynthia Mora at 12:00 pm, Oct 30, 2024 <br />